CAJ | 학술논문

　　目的探讨强直性脊柱炎胸腰椎骨折合并后凸畸形患者行截骨矫形内固定术的护理方法。方法回顾性分析8例强直性脊柱炎胸腰椎骨折并后凸畸形患者的临行截骨矫形内固定术的护理经验。结果8例患者均顺利度过围手术期，术后患者脊柱后凸均得到矫正，无1例出现肺部感染、泌尿系感染等并发症。结论针对性的护理措施及良好的专科指导能有效提高矫形内固定术治疗强直性脊柱炎胸腰椎骨折合并后凸畸形患者的临床治愈率，减少并发症，促进术后患者机体康复。
　　목적탐토강직성척주염흉요추골절합병후철기형환자행절골교형내고정술적호리방법。방법회고성분석8례강직성척주염흉요추골절병후철기형환자적림행절골교형내고정술적호리경험。결과8례환자균순리도과위수술기，술후환자척주후철균득도교정，무1례출현폐부감염、비뇨계감염등병발증。결론침대성적호리조시급량호적전과지도능유효제고교형내고정술치료강직성척주염흉요추골절합병후철기형환자적림상치유솔，감소병발증，촉진술후환자궤체강복。
Objective To explore the strategies for nursing the ankylosing spondylitis(AS)patients with fractures of thoracolumbar vertebra combined with kyphotic deformity treated with osteotomy and internal fixation.Method The nursing histories of 8 AS patients with fractures of thoracolumbar vertebra combined with kyphotic deformity treated with osteotomy and internal fixation were retrospectively analyzed to summarize the nursing strategies.Result All the 8 patients lived through the perioperative periods, with kyphotic derformity corrected and no complications like pulmonary or urinary system infections.Conclusion Pertinent care and effective special instructions to the patients may be clinically effective in improvement of heal rates of fractures of thoracolumbar vertebra combined with kyphotic deformity,reduction of complications and facilitation of their rehabilitation.